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Ownership Document
|
| Schema Version: X0306 |
| Document Type: 4 |
| Period of Report: 3/31/21 |
| Not Subject to Section 16: 0 |
| Issuer: |
| Issuer CIK: 1286681 |
| Issuer Name: DOMINOS PIZZA INC |
| Issuer Trading Symbol: DPZ |
| Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1622500 |
| | Owner Name: ALLISON RICHARD E JR |
| Reporting Owner Address: |
| | Owner Street 1: DOMINO'S PIZZA |
| | Owner Street 2: 30 FRANK LLOYD WRIGHT DRIVE |
| | Owner City: ANN ARBOR |
| | Owner State: MI |
| | Owner ZIP Code: 48105 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? Yes |
| | Is Officer? Yes |
| | Is Ten Percent Owner? No |
| | Is Other? No |
| | Officer Title: Chief Executive Officer |
| Non-Derivative Table: |
| Non-Derivative Transaction: |
| | Security Title: |
| | | Value: Common Stock, $0.01 par value |
| | Transaction Date: |
| | | Value: 3/31/21 |
| | Deemed Execution Date: |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | | Footnote ID: F1 |
| | Transaction Timeliness: |
| | | Value: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 2,458 |
| | | Transaction Price Per Share: |
| Value: 0.00 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 45,122.926 |
| Footnote ID: F2 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Non-Derivative Holding: |
| | Security Title: |
| | | Value: Common Stock, $0.01 par value |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 250 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: I |
| | | Nature of Ownership: |
| Value: Son |
| Non-Derivative Holding: |
| | Security Title: |
| | | Value: Common Stock, $0.01 par value |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 250 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: I |
| | | Nature of Ownership: |
| Value: Daughter |
| Derivative Table: |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Option to Purchase Common Stock |
| | Conversion or Exercise Price: |
| | | Value: 367.79 |
| | Transaction Date: |
| | | Value: 3/31/21 |
| | Deemed Execution Date: |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Timeliness: |
| | | Value: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 9,673 |
| | | Transaction Price Per Share: |
| Value: 0.00 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Exercise Date: |
| | | Value: 3/31/24 |
| | | Footnote ID: F3 |
| | Expiration Date: |
| | | Value: 3/31/31 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock, $0.01 par value |
| | | Underlying Security Shares: |
| Value: 9,673 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 9,673 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Footnotes: |
| Footnote - F1: Represents a restricted stock unit award with service-based vesting criteria that shall vest one-third each year on the anniversary date of the grant date. Thus, one-third shall vest on each of March 31, 2022, March 31, 2023 and March 31, 2024. Shares are issued and delivered following each vesting tranche of the award. |
| Footnote - F2: Includes 65.876 shares acquired under the Domino's Employee Stock Payroll Deduction Plan since the date of the last report. |
| Footnote - F3: The options to purchase common stock vest one-third each year on the anniversary date of the grant date. Thus, one-third shall vest on each of March 31, 2022, March 31, 2023 and March 31, 2024. |
| Remarks: |
| Owner Signature: |
| Signature Name: /s/ Kevin S. Morris, attorney-in-fact |
| Signature Date: 4/2/21 |
